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General NPI Number Information
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NPI Number | 1790144541
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Entity Type | Organization
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Legal Business Name | AMERICAN HOME MEDICAL LLC
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 02/22/2016
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Provider Practice Location Address
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Address Line | 24916 HARPER AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1242
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Country | US
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Telephone | 586-552-8385
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Fax | 586-569-2500
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Provider Business Mailing Address
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Address Line | 24916 HARPER AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1242
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Country | US
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Telephone | 586-552-8385
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Fax | 586-569-2500
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. CYNTHIA ROSE
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Credential |
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Telephone | 586-552-8385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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